颈动脉疾病超声诊断的+七.pptVIP

颈部血管疾病超声诊断;第一节 颈动脉及椎动脉解剖概要;;;颅内、外动脉旁路血供;;;颈深静脉解剖概要;颈浅静脉解剖概要;第二节 检查方法及正常图像;探头选择;体位;检查前准备;检查方法有技巧;1、二维切面：纵切面及横切面扫查。 观察：管壁、内膜及管腔、斑块等，推荐横断面 测量斑块,狭窄情况。 2、 CDFI：偏转技术、彩色血流充盈情况，有无充 盈缺损、色彩混叠等异常现象. 3、脉冲多普勒：取样时声束与血流夹角要60?，测 PSV、EDV、PSVICA/PSVCCA ;正常颈动脉二维图像;颈总动脉内径6.0～8.5mm,平均7.0mm; 颈内动脉内径4.9～6.8mm,平均5.6mm; 颈外动脉内径3.9～5.2mm,平均4.5mm。 三者管径比较：颈总颈内颈外 ;颈动脉内中膜厚度测量;正常颈动脉彩色血流及频谱;正常人颈总、颈内、颈外动脉频血流参数测值;颈内动脉与颈外动脉鉴别诊断见表;颞浅动脉敲击试验;正常椎动脉二、彩色及血流频谱;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;;;第三节 颈动脉粥样硬化斑块超声评价;;;斑块测量;斑块测量;斑块声学特征;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;颈动脉斑块分类及其危险性;斑块评价存在问题;斑块表面特征及溃疡的超声评价 ;第四节 颈动脉狭窄的超声诊断 ;颈动脉狭窄彩色多普勒表现 ;狭窄处;狭窄即后段;狭窄远段;注意事项;超声诊断标准;澳大利亚Newcastle血管中心的CCA狭窄超声诊断标准;影响诊断准确性的因素;颈动脉支架置入术后随访 ;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;第五节 颈动脉多发性大动脉炎的超声诊断;超声诊断要点;病例1;病例2;第六节 肌纤维发育不良;超声诊断要点;DSA;病例1;第七节 颈动脉夹层;超声诊断要点;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;第八节 椎动脉狭窄和闭塞;超声诊断要点;超声诊断要点;病例1;病例2;国内推荐椎动脉起始段狭窄多普勒评价标准;第九节 锁骨下动脉盗血综合征;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;超声诊断要点;头-----------足;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;锁骨下动脉起始端图像;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;锁骨下动脉中段频谱;根据特征性频谱表现诊断一般不难，但当颈动脉、肱动脉有 严重狭窄及闭塞时，或椎动脉闭塞时，椎动脉可不出现逆流 及反向频谱。对锁骨下动脉程度的判定目前尚无广泛接受的 标准，一般是参考四肢动脉狭窄的多